Thursday, December 5, 2013

Question 36

36.  Your patient is a 74 year old male that presents with chest pain with activity, dizziness, and dyspnea on exertion.  He last cardiac cath revealed patent coronary arteries.  His ECHO reveals a small left ventricle and a thickened intra-ventricular septum.  Physical exam reveals a systolic murmur and a S3 and S4 gallop.  His ejection fraction is 23 percent.  Which of the following is the likely diagnosis?

A.  Dilated Cardiomyopathy
B.  Hypertrophic Cardiomyopathy
C.  Restrictive Cardiomyopathy
D.  None of the above

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